The rate of caesarean section has continue to increase worldwide and the lack of harmony on its indications and the associated shortand long-term risks has been a cause of concern among health professionals and the public at large. A retrospective study was done to assess factors associated with caesarean section at Kampala International University Teaching Hospital (KIU-TH) Western Uganda from 2017- 2018. KIU-TH is the biggest hospital in Bushenyi district and also served as a referral hospital to neighbouring district in Western and other parts of Uganda. This study reviewed 320 women records that underwent CS. Data was collected systematically using simple structured questionnaires and was analyzed using statistical package for social sciences (SPSS). Out of the 320 records reviewed, patient related factors has an increased odd with maternal ages 32-38 and 39-45 were significance, Occupational status, Level of education and primigravidas were significance factors associated with rate of CS. On medical related factors, fetal distress, obstructed/prolonged labour, premature rapture of membrane and mal-presentation were significance associated factors at p-value<0.005 respectively. Despite the factors indicated in this study, pregnant women with should be encourage to attend antenatal clinics for proper preparation towards safe delivery in order to avoid high rate of CS dependent delivery.
Background: Cancer is an important public health problem in the world. Weight loss and malnutrition are common among cancer patients, both core of complications during the disease. Also, psychological stress and lifestyle habits have an impact on patients' quality of life. This study aimed to assess the nutritional status, psychological stress and lifestyle habits among cancer patients in the Gaza strip. Methods: A cross-sectional study was conducted at European Gaza Hospital and Abdul Aziz Al Rantissi Specialist for Children Hospital during February 2019 among 100 cancer patients in Gaza Strip. A self-administered questionnaire was used to investigate demographic and socioeconomic status, anthropometric measurements, clinical examination, lifestyle habits, psychological stress, and dietary habits. Statistical analysis was carried out using descriptive SPSS version 24. Results: Most of the patients were married females with low monthly income. 14% of patients live in asbestos houses, 59.0% lose their weight, 55.0% were overweight or obese and 59.0% have high waist circumference (WC). Regarding lifestyle factors, 75.0% of patients were low or moderate activity and 9% were smokers. The majority of patients were psychologically stressed. About 46.0% lose their appetite. In general, patients eat diverse types of carbohydrates, protein, vegetables and fruits but also eating junk food. In the current study colon cancer was the highest percentage among cancer patients. The patients received different types of cancer treatments. Conclusion: Many risk factors were found in the current study; asbestos houses, obesity and overweight, smoking, physical inactivity, junk food, and family history. The majority of patients did not suffer from malnutrition. Psychological stress was common among participants.
Pregnant women with Marfan syndrome (MFS) are at high risk of acute aortic dissection during the third trimester. The strategy of treatment between the 28th and 32nd week of pregnancy is debatable. We present the case of a 25 year old pregnant woman, with Marfan syndrome in 29th gestational week with type A Acute Aortic Dissection and severe mitral regurgitation.
Biocore Publishing Group
All Published work is licensed under a Creative Commons Attribution 4.0 International License.